MICAH JAKSIK (NPI# 1043669757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043669757 |
| Entity Type | Individual |
| Full Name | MICAH JAKSIK |
| Credential | LPC |
| Practice Address |
3016 Polar Ln Ste 407 Cedar Park TX 78613-3050 |
| Practice Telephone | 5123091718 |
| Mailing Telephone | 5123091718 |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2020-01-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
71340 | TX | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1009 N Georgetown St, Round Rock, TX 786643289 | 5122551720 | 5125972141 |
| Street Address |
3016 POLAR LN STE 407 |
| City | CEDAR PARK |
| State | TX |
| Zip Code | 78613-3050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659911154 | Cedar Park Mindfulness Counseling | Clinic/Center | 3016 Polar Ln Ste 407, Cedar Park, TX 78613-3050 | 2020-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891280 | Honor Audiology, LLC | Audiologist | 1807 Cypress Creek, Ste 106, Ceder Park, TX 78613 | 2020-11-03 |
| 1750980801 | Sheneil Roberts | Pharmacist | 101 Commercial Pkwy, Cedar Park, TX 78613 | 2020-10-20 |
| 1821606674 | Whitney Olivia White | Dentist | 4807 183a, Ste 100, Cedar Park, TX 78613 | 2020-07-17 |
| 1427681436 | Alex Parnell | Marriage & Family Therapist | 3000 Polar Lane, 602, Cedar Park, TX 78613 | 2020-02-18 |
| 1497216642 | Rolling Hills Healthcare, Inc. | Hospice Care, Community Based | 1101 Arrow Point Dr Ste 301, Cedar Park, TX 78613 | 2019-03-29 |
| 1265907828 | Mary Kathleen Williams | Clinical Nurse Specialist | 1103 Pagedale Drive, Cedar Park, TX 78613 | 2018-10-10 |
| 1982187514 | Elizabeth Harwell | Physical Therapy Assistant | 1500 Cottonwood Creek Trail, Cedar Park, TX 78613 | 2018-09-10 |
| 1346722246 | Riddhi Gohel | Optometrist | 11200 Lakeline Mall Dr Ste H5, Cedar Park, TX 78613 | 2018-09-06 |
| 1528546736 | Lakeline Emergency Center, LLC | Clinic/Center | 1860 S. Lakeline Blvd, Cedar Park, TX 78613 | 2018-07-31 |
| 1710464458 | Kelsey Alyse Hayes | Dietitian, Registered | 1401 Medical Pkwy B, Suite 101, Cedar Park, TX 78613 | 2018-07-25 |
| Find all providers in zip 78613 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760027676 | Robert Lee Turner | Counselor | 1464 E Whitestone Blvd Ste 1901, Cedar Park, TX 78613-9077 | 2019-11-14 |
| 1366098089 | Joellen Smith Goldsberry | Counselor | 1464 E Whitestone Blvd Ste 1804, Cedar Park, TX 78613-9076 | 2019-08-18 |
| 1023545175 | Richard Honey | Counselor | 201 S Lakeline Blvd Ste 604, Cedar Park, TX 78613-2747 | 2017-05-20 |
| 1063952331 | Lori Burdick | Counselor | 1504 Canvasback Trl, Cedar Park, TX 78613-4082 | 2017-03-06 |
| 1700328002 | Rhonda Hebert Teagle | Counselor | 201 S Lakeline Blvd # Office, Cedar Park, TX 78613-2718 | 2016-11-17 |
| 1477931210 | Selena Tyler | Counselor | 2101 S Lakeline Blvd, 432, Cedar Park, TX 78613-3939 | 2015-05-13 |
| 1942608849 | Brandy Hart | Counselor | 12151 W Parmer Ln Ste 202, Cedar Park, TX 78613-2171 | 2014-12-09 |
| 1568864155 | Linda Reed | Counselor | 1900 Cypress Creek Rd Ste 101, Cedar Park, TX 78613-3853 | 2014-09-25 |
| 1235531625 | Joann Martillotti-cartwright | Counselor | 100 E Whitestone Blvd, Suite 148-340, Cedar Park, TX 78613-6902 | 2014-09-17 |
| 1154745107 | Michael Robert Smith | Counselor | 1001 Cypress Creek Rd, 201, Cedar Park, TX 78613-4466 | 2014-02-11 |
| Find all providers in CEDAR PARK | ||||
| City | CEDAR PARK |
| Zip Code | 78613 |
Please comment or provide details below to improve the information on MICAH JAKSIK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.